Warranty Form
Customer Name:
*
Customer Name:
*
Job Name:
*
Job Address:
*
City:
*
Province or State:
*
Country:
*
Please Select
Canada
US
Postal/ZIP Code:
*
Phone number:
*
Format: (000) 000-0000.
Contact Email:
*
Mechanical Contractor Name:
*
Mechanical Contractor Number:
Format: (000) 000-0000.
Technician Name:
*
Technician Number:
Format: (000) 000-0000.
Extended Warranty
Do you Have Extended Warranty?
*
No
Yes
Please
click here
to download the Service Claim Form
Enter the Certificate Number:
*
Upload the Completed Service Claim Form:
*
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Unit Details
Model Number:
*
Configuration Number / Version / Comm:
*
Serial Number:
*
Year of Manufacture:
Date of Unit Start Up:
*
-
Month
-
Day
Year
Date of Problem:
*
-
Month
-
Day
Year
Description of Problem:
*
Please fill in as much detail as possible
Description of Warranty Parts Required:
Unless extended warranty has been chosen the 1st year labour is by contractor
Additional Notes:
Unless extended warranty has been chosen the 1st year labour is by contractor
OPEN SECTION
Upload Picture of Nameplate / Rating Plate:
*
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Upload a Picture of Any Shipping Damage / Faulty Part - 1:
*
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Upload a Picture of Any Shipping Damage / Faulty Part - 2:
*
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Upload a Picture of Any Shipping Damage / Faulty Part - 3:
*
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Upload a Picture of Any Shipping Damage / Faulty Part - 4:
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Upload a Picture of Any Shipping Damage / Faulty Part - 5:
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Upload Drawing / Schematic of Piping Diagram:
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Upload Mechanics Report:
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Submit Form
Should be Empty: